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Hw..,,-ER OBSERVATION REPORT Observation Report Number <br /> CalRecycle XX <br /> �°f G`i, ' 1H-7�3� <br /> (R&V ) <br /> DqA.arR-Yam-d BLUE OR BLACK INK PEN <br /> O TPID-not available/not applicable <br /> ® Observation during inspection at: ou N '►'1 7fy'e.S <br /> TPID- 7 1,51(-) (J L) �j m Generator p End—Use Facility p Other. <br /> —� <br /> VehicleTPID= l -7 �-- �- ? - - �— <br /> Plate C J L� C� State L A 0 Observation in transit <br /> Decal Observation by Inspector <br /> Num(tfApotbcaba>� o t <br /> Observation Date <br /> Q Hauler Exempt: <br /> Hauler Name Observation Time <br /> 0 AM <br /> Hauler Ad cess <br /> �y� 11�tii - <br /> �-�,� G1k R x_3.7 <br /> ditty state Zip Code <br /> Driver's Name D.O.B. <br /> y <br /> Cc 0*6 L�j ��,•� <br /> Location of Observation <br /> Street <br /> L_c_' -t Vvvp For more information concerning Waste/Used Tire <br /> city state Zip Code .Hauling&Manifesting,please call the Waste Tire <br /> Hotline at(866) 896-0600. <br /> Part B- <br /> O ® PRC§42951-Waste Tire Hauler Registration and Transport of Tires 00 PRC§42956(c)-Failure to Present Registration to Officlal <br /> O O PRC§42952(b)-Falsely Represents self as Registered Hauler 00 14 CCR§.18456.4—Failure to Abide by Temporary Registration <br /> O O PRC§42956(a)-Registration/Decal in Vehicle 00 14 CCR§18459-Hauler Complying with Manifesting Requirements <br /> O O PRC§42956(b)-Hauler Using an Unregistered Vehicle 00 Other§ <br /> Comments!Driver's Statement: <br /> .._�.,✓_LL�n_�xa,���� 4aaswm III/j <br /> _--'c��rN,�.__=�v�``_��_:. L>�'{�J� �._�`�'_-`--.1�__�✓.._..._��^�_—���.___�l�t�,z��.�.mss • '�,-,�---`'_------- <br /> 1 _ _._e .a,� 10..� _�.f:_._ cam_.v11 - trc��Ire <br /> . --t"-+--kiF-x-t- <br /> .. 9 <br /> 3fi; ?Rps r <br /> iPkstd +utt��� <br /> Correct: Incorrect: (,� <br />